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1790090322
JONAGLECYLLA AGCAOILI SANTIAGO
PORTLAND, OR
NPI
1790090322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08672)
Enumeration Date
2010-08-06
Last Update Date
2010-08-06
Business Address
JONAGLECYLLA AGCAOILI SANTIAGO PTA
1300 NE 16TH AVE
PORTLAND, OR 97232
Phone number: 503-288-6671
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Mailing Address
JONAGLECYLLA AGCAOILI SANTIAGO PTA
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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